Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.64 / $53.64 / $181.00	Facility		$53.64	$53.64	$181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.54 / $53.64 / $59.38	Professional		$48.54	$53.64	$59.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.77 / $109.85 / $284.60	Facility		$93.77	$109.85	$284.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $52.51 / $129.81	Professional		$48.73	$52.51	$129.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $99.86 / $134.81	Facility		$74.90	$99.86	$134.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $99.86 / $213.82	Professional		$69.90	$99.86	$213.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $130.56	Facility		$64.62	$64.62	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $47.17 / $82.55	Professional		$47.17	$47.17	$82.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $64.62	Professional		$47.17	$64.62	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $58.26 / $76.38	Professional		$42.37	$58.26	$76.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $46.98 / $65.62	Professional		$32.77	$46.98	$65.62